Abstract
In 88 ears with adhesive otitis media, 46 men and 37 women aged six to 66 years, postoperative hearing results and the condition of tympanic membrane were analyzed. Follow-up examination was carried out six months to 17 years after operation. One stage tympanoplasty was performed in 70 ears and the planned staged tympanoplasty in 18 ears. Overall success rate in hearing was 55%. Regarding the postoperative condition of the tympanic membrane. 53 ears (60%) showed normal, 26 ears (30%) re-adhesion and nine ears (10%) perforation. The normal rates of post operative condition of the tympanic membrane in each operative procedure to avoid re-adhesin of tympanic membrane were 100% in transplantation of mastoid mucosa to the middle ear, 7.5% in the use of nasal cartilage to strengthen the atrophic membrane and 71% in the use of Gelfilm. Tympanoplasty Type I, with columella Type III and with columella Type IV were performed in 34, 25 and 15 ears and the success rates in hearing were 62%, 56% and 33% respectively.
